Ismail M A, Moawad A H, Poon E, Henderson C
J Reprod Med. 1987 Apr;32(4):280-4.
To investigate the role of Chlamydia trachomatis in puerperal endometritis, 72 patients with endometritis following vaginal or cesarean section delivery were studied. Blood, urine and endometrial cultures for aerobic and anaerobic bacteria and for C trachomatis were performed for all patients. C trachomatis was isolated in 25% of patients with endometritis. Patients with post-vaginal-delivery endometritis and a positive C trachomatis culture had a later onset of infection as well as a favorable clinical response to treatment despite persistence of C trachomatis in their endometrial cultures at the end of therapy. Cephalosporins failed to eradicate C trachomatis from endometrial cultures after five days of intravenous therapy.
为研究沙眼衣原体在产褥期子宫内膜炎中的作用，对72例经阴道分娩或剖宫产术后发生子宫内膜炎的患者进行了研究。对所有患者进行了需氧菌、厌氧菌及沙眼衣原体的血培养、尿培养和子宫内膜培养。25%的子宫内膜炎患者分离出沙眼衣原体。经阴道分娩后发生子宫内膜炎且沙眼衣原体培养阳性的患者感染发病较晚，尽管治疗结束时子宫内膜培养物中仍有沙眼衣原体存在，但对治疗的临床反应良好。静脉注射治疗5天后，头孢菌素未能从子宫内膜培养物中根除沙眼衣原体。
